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    <td><table width=100% cellpadding=2 cellspacing=1 class=menu>
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        <td width=998><table width=100% height=60 border=1 cellpadding=0 cellspacing=0 class=menu>
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              <td width=29% height=14 ><span class=style1>DISTRITO: $distrito</span></td>
              <td width=15%><span class=style1>RUTA: $ciclo</span></td>
              <td width=29%><span class=style1>Cód. Supervisor:</span></td>
              <td colspan=4 rowspan=2><span class=style1>Ficha:</span></td>
            </tr>
            <tr class=textico >
              <td height=14><span class=style1>NIS: $nis</span></td>
              <td><span class=style1>CUS:</span></td>
              <td><span class=style1>Cód. Digitado:</span></td>
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            <tr class=textico >
              <td height=14 colspan=2><span class=style1> USUARIO: $usuario</span></td>
              <td><span class=style1>Cod. Inspector: </span></td>
              <td width=6% rowspan=3><span class=style1>Fecha:</span></td>
              <td width=6% rowspan=3 align=center valign=bottom><span class=style1>Dia</span></td>
              <td width=7% rowspan=3 align=center valign=bottom><span class=style1>Mes</span></td>
              <td width=8% rowspan=3 align=center valign=bottom><span class=style1>Año</span></td>
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            <tr class=textico >
              <td height=14 colspan=3><span class=style1>DIRECCION: $direcion</span></td>
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            <tr class=textico ></tr>
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    <td height=256><table width=100%  border=0 align=center cellpadding=0 cellspacing=0>
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        <td width=32% valign=top><table width=100% border=1 cellpadding=0 cellspacing=0 class=style3>
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              <td colspan=2><div align=center class=style2>Predio</div></td>
              <td colspan=3><div align=center class=style2>uso predio</div></td>
            </tr>
            <tr>
              <td width=37%><span class=style2>Habilitado</span></td>
              <td width=9%>&nbsp;</td>
              <td colspan=2><span class=style2>Social</span></td>
              <td width=11%>&nbsp;</td>
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              <td><span class=style2>No Habilitado</span></td>
              <td>&nbsp;</td>
              <td width=16% rowspan=2><span class=style2>Domestico</span> </td>
              <td width=27%><span class=style2>Unif.</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Baldio</span></td>
              <td>&nbsp;</td>
              <td><span class=style2>Multif.</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>En Construcciòn</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Industrial:</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Demolido</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Comercial</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Parque</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Estatal</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>No Registrado</span></td>
              <td>&nbsp;</td>
              <td colspan=3><div align=center class=style2>Localizacion Caja</div></td>
            </tr>
            <tr>
              <td><span class=style2>No Ubicado</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Interior</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><div align=center class=style2>Suministro</div></td>
              <td colspan=2><span class=style2>Vereda</span></td>
              <td><div align=center></div></td>
            </tr>
            <tr>
              <td><span class=style2>Vigente</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Jardin</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Cerrado</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Distante</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Directo</span></td>
              <td><span class=style2></span></td>
              <td colspan=2><span class=style2>Esquina</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><div align=center class=style2>Conexion</div></td>
              <td colspan=2 ><span class=style2>Espalda</span></td>
              <td ><div align=center></div></td>
            </tr>
            <tr>
              <td><span class=style2>Con Medidor</span></td>
              <td>&nbsp;</td>
              <td colspan=2><span class=style2>Otro</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Con niple</span></td>
              <td>&nbsp;</td>
              <td colspan=3 rowspan=2 valign=top><div align=center class=style2>Ubicacion %</div></td>
            </tr>
            <tr>
              <td><span class=style2>Sin niple/Medidor</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=5><span class=style2>Actividad Comercial</span></td>
            </tr>
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        <td width=17% valign=top><table width=100% border=1 cellpadding=0 cellspacing=0 class=style3>
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              <td colspan=3><div align=center class=style2>Imposibilidad</div></td>
            </tr>
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              <td colspan=2><span class=style2>Tapa saldada</span></td>
              <td width=22%>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Con Candado</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Caja con Concreto</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Eventual</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=3>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=3><div align=center class=style2>
                  <div align=center>
                    <div align=center class=style2>Estado Tapa</div>
                  </div>
              </div></td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Buena</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Sin Segura</span></td>
              <td>&nbsp;</td>
            </tr>
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              <td colspan=2><span class=style2>Descentrada</span></td>
              <td>&nbsp;</td>
            </tr>
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              <td colspan=2><span class=style2>Trabada</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Rota</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Sin Tapa</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=3><div align=center class=style2>Tipo Tapa</div></td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Fierro Fundido</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><span class=style2>Fierro Galvanizado</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td width=23% rowspan=2><span class=style2>Termo Plastica</span></td>
              <td width=55%><span class=style2>Con Visor</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td>Sin Visor</td>
              <td>&nbsp;</td>
            </tr>
        </table></td>
        <td width=17% valign=top><table width=100% border=1 cellpadding=0 cellspacing=0 class=style3>
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              <td colspan=2><div align=center class=style2>Seguro Tapa</div></td>
            </tr>
            <tr>
              <td width=79%><span class=style2>Lengueta</span></td>
              <td width=21%>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Imantada</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Hexagona</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><div align=center class=style2>Estado Caja</div></td>
            </tr>
            <tr>
              <td><span class=style2>Buena</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Rota</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Profunda</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Ladrillo</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Sin Solado</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><div align=center class=style2>Estado Medidor</div></td>
            </tr>
            <tr>
              <td><span class=style2>Bueno </span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Manipulado</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Invertido</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Mica Empañada</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Mica Rayada</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td><span class=style2>Luna Opaca</span></td>
              <td>&nbsp;</td>
            </tr>
            <tr>
              <td colspan=2><div align=center class=style2>Consorcio AZB-HCI</div></td>
            </tr>
        </table></td>
        <td width=34% valign=top><table width=100% border=0 cellpadding=0 cellspacing=0>
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              <td width=49%><table width=100% border=1 cellpadding=0 cellspacing=0 class=style3>
                  <tr>
                    <td colspan=2><div align=center class=style2>Precintos</div></td>
                  </tr>
                  <tr>
                    <td width=77%><span class=style2>Con Precinto</span></td>
                    <td width=23%><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Sin Precinto</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td colspan=2><div align=center class=style2>Diametro</div></td>
                  </tr>
                  <tr>
                    <td><span class=style2>15</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>20</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>25</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>40</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Otro</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td height=26 colspan=2 valign=top><span class=style2>Lectura:</span></td>
                  </tr>
                  <tr>
                    <td height=30 colspan=2 valign=top><span class=style2>Numero de medidor:</span></td>
                  </tr>
              </table></td>
              <td width=51%><table width=100% border=1 cellpadding=0 cellspacing=0 class=style3>
                  <tr>
                    <td colspan=2><div align=center class=style2>Dispositivo</div></td>
                  </tr>
                  <tr>
                    <td width=80%><span class=style2>Abrazadera</span></td>
                    <td width=20%><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Pulpo</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Dado</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Anclaje</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Otros</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td colspan=2><div align=center class=style2>Tipo Valvula</div></td>
                  </tr>
                  <tr>
                    <td height=17><span class=style2>Telescopica</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Salida Auxiliar</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Sin Valvula</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td colspan=2><div align=center class=style2>Tipo Valvula</div></td>
                  </tr>
                  <tr>
                    <td><span class=style2>Bronce</span></td>
                    <td><span class=style2></span></td>
                  </tr>
                  <tr>
                    <td height=14><span class=style2>PVC</span></td>
                    <td><span class=style2></span></td>
                  </tr>
              </table></td>
            </tr>
            <tr>
              <td colspan=2><div align=center><span class=style1>OBSERVACIONES</span>:</div></td>
            </tr>
          </table>
            <table width=100% border=1 cellpadding=0 cellspacing=0>
              <tr>
                <td height=39>&nbsp;</td>
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